Beyond Fleischner: Lung Nodule Evaluation

This past installment of the Division of Occupational and Environmental Medicine grand rounds, on Friday 10-May-2024, focused on lung nodule evaluation as described by Dr. Adam Jacobi.
Dr. Adam Jacobi is Associate Professor of Radiology, Director of the Cardiothoracic Imaging Fellowship, and Section Chief of the Cardiothoracic Radiology section at Mount Sinai Hospital. Over the years, he has contributed to the management of innumerable complex patient cases his expertise in all cardiothoracic imaging modalities, ranging from Chest CT to Cardiac/Vascular CTA and MRI/MRA. Some of his most important innovations have included the design and implementation of a tracheomalacia CT protocol with dynamic tracheal imaging to meet the need of an increasing patient population. As our aging population with aortic stenosis continues to expand, he has also assisted in the design of a pre-procedural CTA of the heart and body which limits the intravenous contrast dose requirements to preserve the volume status and kidney function in such patients. With the support of his team, he has also made great efforts in properly training our CT technologists in order to reduce their radiation exposure on every chest CT at the institution. Through weekly interdisciplinary conferences with interstitial lung disease (ILD) experts in Pulmonology and Pathology, he is familiar with chronic lung disease patterns on CT and has assisted in several radiology-pathology correlation publications. He was also part of the group to first publish findings of Covid-19 pulmonary infection on Chest CT, and investigate this novel virus on all chest imaging modalities.

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